Provider Demographics
NPI:1114160819
Name:SLINGSBY, STEPHEN ROGER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:ROGER
Last Name:SLINGSBY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5144 GREENTREE CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-5935
Mailing Address - Country:US
Mailing Address - Phone:925-596-0168
Mailing Address - Fax:510-562-5194
Practice Address - Street 1:1900 DAVIS ST
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-1209
Practice Address - Country:US
Practice Address - Phone:510-562-6815
Practice Address - Fax:510-562-5194
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30469183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARPH30469OtherCALIFORNIA BOARD OF PHARMACY